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Von Meyenburg complexes – multiple biliary hamartomas mimicking metastatic liver lesions


Authors: R. Šefr 1;  J. Silák 1;  P. Fabian 2;  M. Ondrák 1;  L. Fiala 1;  O. Zapletal 1
Authors‘ workplace: Oddělení chirurgické onkologie a operačních sálů, Masarykův onkologický ústav Brno, primář: MUDr. V. Chrenko, CSc. 1;  Oddělení onkologické patologie, Masarykův onkologický ústav Brno, primář: MUDr. P. Fabian, Ph. D. 2
Published in: Rozhl. Chir., 2015, roč. 94, č. 8, s. 340-342.
Category: Case Report

Overview

Von Meyenburg complexes are benign liver lesions usually consisting of dilated bile ducts surrounded by fibrous stroma. Their discovery is usually incidental and unsuspected during the early phase of the operative procedure. The sovereign diagnostic method is intraoperative frozen section examination. The complexes are not important as regards their clinical or functional significance. However, this uncommon entity should be taken into consideration in the framework of differential diagnosis of metastatic liver lesions.

Key words:
von Meyenburg complexes – multiple biliary hamartomas mimicking metastatic liver lesions.


Sources

1. Bhathal PS, Hughes NR, Goodman ZD. The so-called bile duct adenoma is a peribiliary gland hamartoma. Am J Surg Pathol 1996;20:858−64.

2. Třeška V. Technika jaterních resekcí – současné možnosti. Rozhl Chir 2007;7:335–6.

3. Mortelé B, Mortelé K, Seynaeve P, et al. Hepatic bile duct hamartomas (von Meyenburg Complexes): MR and MR cholangiography findings. J Comput Assist Tomogr 2002;26:438−3.

4. Krahn JF, Bönhof JA, Förster C, et al. Von Meyenburg complexes: a rare cause for multiple hepatic lesions on transabdominal ultrasound. J Clin Ultrasound 2012;40:174–5.

5. Fritz S, Hackert T, Blaker H, et al. Multiple von Meyenburg complexes mimicking diffuse liver metastases from esophageal squamous cell carcinoma. World J Gastroenterol 2006;12:4250−2.

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Surgery Orthopaedics Trauma surgery
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